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General NPI Number Information
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NPI Number | 1225088107
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Entity Type | Individual
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Provider Name | MAX A LUNA MD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 02/08/2018
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Provider Practice Location Address
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Address Line | 500 RAY C HUNT DR FL 2
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-2981
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Country | US
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Telephone | 434-243-4520
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Fax | 434-244-4522
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Provider Business Mailing Address
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Address Line | PO BOX 9007
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22906-9007
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Country | US
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Telephone | 434-295-1000
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Fax | 434-972-4266
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD.200075
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101244071
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License Number State | VA
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